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NPI 1366181208ActiveOrganization· General Practice· Fayetteville, GA
General Practice in Fayetteville, Georgia, registered in NPPES in May 2022, part of 1437194156. The authorized official on file is Michele Larkee, Billing Lead.
Overview
| NPI | 1366181208 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 1437194156 |
| NPI issued | May 31, 2022 |
| Last updated in NPPES | May 31, 2022 |
| Certified by provider | May 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general practitioners in Fayetteville
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